Provider Demographics
NPI:1679740369
Name:LEVENTHAL, JAMI LYNN
Entity type:Individual
Prefix:
First Name:JAMI
Middle Name:LYNN
Last Name:LEVENTHAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11380 PROSPERITY FARMS RD
Mailing Address - Street 2:210 B
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-3474
Mailing Address - Country:US
Mailing Address - Phone:561-469-9846
Mailing Address - Fax:561-469-9845
Practice Address - Street 1:11380 PROSPERITY FARMS RD
Practice Address - Street 2:210 B
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-3474
Practice Address - Country:US
Practice Address - Phone:561-469-9846
Practice Address - Fax:561-469-9845
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-12
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY911231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist